Anthem rescinds modifier 25 cuts

Last week, Anthem, one of the nation’s largest commercial health plans, notified the American Medical Association(www.ama-assn.org) that it has decided to rescind a policy to reduce payments by 25 percent for evaluation and management codes appropriately reported with CPT modifier 25. The policy was slated to take effect on March 1, 2018, across Anthem’s commercial health insurance businesses. Anthem will provide formal notification to its contracted providers regarding its decision on modifier 25.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

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Notice to visitors: The AAFP employs the use of cookies to collect information about all visitors to AAFP websites. Some pages make use of the MouseStats Analytics Service to track mouse movement and form field completion. You may opt out of this particular activity. For additional information you may review the AAFP Privacy Policy and the MouseStats Privacy Policy.